Active NPI
Haley Nicole Harris, MS, LPC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1104317502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75758
- Practice address
- 3800 Paluxy Dr Ste 240
Tyler, TX 75703 - Phone
- (903) 283-8729
- NPI assigned
- May 22, 2018
- Last updated
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75758 | TX | Primary |
Addresses
Primary practice location
3800 Paluxy Dr Ste 240
Tyler, TX 75703
Mailing address
2933 Shenandoah Dr
Tyler, TX 75701-6536
Phone (979) 204-8609
Other practice location 1
1828 E SE Loop 323 Ste Ll14
Tyler, TX 75701-8398
Phone (903) 526-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75758 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Therapeutic Services PLLC | Professional | Past | Accepting new patients |
| Nancy G. Mayer | Professional | Past | Accepting new patients |
| Grace Counceling Center | Professional | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Tyler, TX
- NPI 1922594308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1104317502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 SHENANDOAH DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757016536",
"telephone_number": "979-204-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 PALUXY DR STE 240",
"city": "TYLER",
"state": "TX",
"postal_code": "75703",
"telephone_number": "903-283-8729"
}
],
"practiceLocations": [
{
"address_1": "1828 E SE Loop 323 Ste Ll14",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757018398",
"country_code": "US",
"telephone_number": "903-526-4044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "HALEY",
"middle_name": "NICOLE",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.